Pre-covid, my work was on maternal mortality, and 1 way to decrease MM rates is to listen to women. What I notice in #returntoschool debates are that we are not listening to families we claim are most negatively impacted by #virtualSchool.
This article is one of the first to detail and predict that when given the choice, Black parents won't overwhelmingly send our children to school in the middle of a pandemic…
Municipality after municipality showed similar data.…
yet, we have well meaning (non black?) people, advocating for schools to reopen so our children won't be left behind. hmmmm. Makes me wonder why.
I read this article this morning that offers many thoughts on why. I found them compelling.…
This quote expresses why my Black children won't return to in-person school.
"The reluctance of parents of color to send their children back to in-person school is likely driven by the fact that the virus has hit low-income Americans and people of color, ...
...who also are more likely to live in multigenerational households, much harder than their white and upper-income counterparts."

Also, I've found virtual school of the fall to be completely different than crisis schooling of the spring.
When I asked Black families what they like about virtual school, I got answers that will outlive the pandemic. Things like "no microagressions", "my kids don't get overly punished", "my kids can learn in a loving nuturing environment."
Thank you @htubbscooley_RN for sharing that very thought provoking article with me.
Because with the pandemic, the same thing has to be proven over and over again, I'm adding a recent article from NYC to the list.…

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More from @Theresa_Chapple

Nov 13
On #immunitydebt
1- public health measures have limited exposure to diseases for a century. Yet, the phrase immunity debt just recently popped. When public health measures stopped exposure to waterborne diseases, people just lived longer, no faulty claims of immunity debt.
2- The age group most likely to be hospitalized by RSV are 0-6 mths. This age group was born during the "live with COVID" or "return to normal" phase of the pandemic. They didn't experience public health mitigations, therefore no "immunity debt" from it.…
3- and most importantly, your immune system is not a muscle, you dont need to continually exercise it to make sure it works. So public health measures that let us enjoy 2+ years w/out flu and RSV didn't cause your immune system to forget how to work.
Read 6 tweets
Oct 25
There's a poverty tax, we all know this. Goods and resource often cost more in poorer sections of town.
We also see this in our criminal justice system. There are certain things that are crimes that would almost only apply to poor people. For instance,
the mother in Georgia arrested for killing her baby. Circumstances- no heat in the house, mom heated their small home with the oven. Baby overheated and died.
Heating a home with an oven is something poor people do. Criminalizing its unintended consequences only impacts the poor
I'll also never forget about the mom who was found guilty for the death of her child.
Circumstances- her child was hit by a car. The family of 4 got off the bus and tried to cross the street on a rainy cold night. The bus stop let them off .3 miles from a light/crosswalk.
Read 5 tweets
Aug 13
Dear @PublicHealth, did you consider having a local/state public health director lead mainstage talk about backlash?
Just doing our jobs led to us needing police protection many times during the pandemic. We did not have to go out of our way to utilize media to manufacture it.
Our families have been tortured, our lives threatened. Many of us have lobbied for laws to protect our privacy by unlisting our addressed.
A colleague described how her kids were beaten up on the school bus after she implemented a mask mandate.
But, you're highlighting a
person who sought media blitz, downplayed the harms of COVID among minority populations, used her platform against struggling local public health leaders, in a conference focused on equity.
Can you help me understand this decision?
Read 4 tweets
Aug 10
COVID fatigue is real.
Long COVID is real, and currently cost our economy 50 bil a year. This number is expected to increase as repeat COVID cases lead to more long COVID.
I also expect long COVID to impact our children's ability to learn in school and succeed. Especially if
their parents are too sick or too fatigued to help their kids with school work.

We can't just stop at COVID fatigue being real and jump to "so let's give in to it".

We have to move to activism, "so let's decrease the rate of COVID in the community."

How? I have some ideas
We like to say that the fed gov abandoned us. This is only partially true in that they decided not to be the standard bearers, they pushed it all to the states.
However, they model good policies that we could copy.
Read 8 tweets
Aug 7
My plan is to thank everyone individually for the care and support you have shown my family.
First by helping me identify a trauma & grief therapist in Philly, secondly by helping ensure that my family have the resources to maintain treatment.
My Twitter community is priceless.
Last night, I talked to my 10 year old about the event that caused the life of her 9 year old cousin. Today, I will talk to you all about it.
The goal, education, with hopes that not another child is lost this way.
Let's discuss the #BlackoutChallenge
This is a challenge that is rampant on the internet. If you google, the majority of children to have died from this are 9 and 10.
The CDC suggest that over 80 kids have recently subcumbed to this.
As a mom of a 10 year old, I knew nothing about the resurgence of this challenge.
Read 7 tweets
Jun 26
"We don't have to count raindrops to know it's raining"

A thread on why this should never be a premise we base public health policy on.

Also... hating every moment in our new normal that makes a thread like this necessary.
My favorite T-shirt says "Epidemiologists count".

2 years ago I gave a lecture on how to count. My then 7 year old was shocked that I was giving a 3 hour talk to adults on how and the importance of counting.

But accuratly counting cases is core to epidemiology.
Specific to COVID, why does it matter? We all know COVID is still here.

Well, there's been a concerted effort to have people believe that COVID is no longer here, and/or no longer a big deal. And the way we continue down this path is to stop/undercount cases.
Read 10 tweets

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